[Nose Lab Clinic]
Hello, this is Dr. Cha-Young Kang from Nose Lab Clinic.
Today, I’ll share the case of a patient with cleft lip and palate who underwent revision rhinoplasty to achieve a more defined and glamorous nasal contour after previously opting for a natural result.
Design Consultation: Frontal View, Left Side View, and Oblique Side View Photos
1. Surgical History
Childhood: Cleft lip & palate primary surgery (during middle school)
10 years ago: Alar base reduction + silicone implant
4 years ago: Rib cartilage graft + silicone augmentation at Nose Lab Clinic
2. Initial Assessment
Design Consultation: Right Side View, Oblique Side View, and Nostril View Photos
a. Special Considerations
Structural asymmetry due to cleft lip & palate
Initially satisfied with a natural look but now desires a more striking change
Underlying nasal congestion and rhinitis symptoms
b. Areas for Improvement
Widened nasal shape
Low nasal tip position
Lack of projection & overall dimension
3. Patient’s Goals
✔ Elevate the nasal tip
✔ Slim down the widened nasal shape
✔ Enhance definition for a more glamorous appearance
✔ Achieve a more striking transformation compared to previous surgeries
4. Surgical Plan & Execution
a. Structural Reinforcement
Rib cartilage graft for septal reconstruction
Revising & reshaping existing rib cartilage for enhanced support
Establishing a strong, stable nasal framework
b. Aesthetic Refinement
Nasal tip elevation for a refined, structured look
Correction of nasal widening
Enhanced nasal contours for a more glamorous result
c. Symmetry & Functional Adjustments
Alar base reduction for better proportion
Functional surgery for nasal congestion & rhinitis relief
Overall balance & proportion adjustments
5. Post-Surgical Outcomes
Before (Left) / Immediately After (Right)
a. Frontal View
Slimmer & more refined nasal shape
Increased tip projection for a three-dimensional look
Improved nasal symmetry
Before (Left) / Immediately After (Right)
b. Side Profile
More striking & defined nasal contour
Increased nasal tip height
Harmonized overall proportions
Before (Left) / Immediately After (Right)
c. Nostril View
Reduced alar base width
Expected improvement in nasal breathing
Balanced nasal structure
Before (Left) / Immediately After (Right)
6. Expert Insights
Immediately After Surgery: Frontal, Side, and Oblique Side View Photos
Immediately After Surgery: Nostril View Photos
This case involved a patient who previously underwent cleft lip and palate nose reconstruction at our clinic four years ago and was initially satisfied with a natural result. However, they later expressed a desire for a more defined and dramatic transformation.
Cleft lip and palate nose revisions require special attention since the nasal structure is often weaker and more asymmetric. Thus, structural stability was the priority, using rib cartilage for septal reinforcement.
Key surgical highlights:
Nasal tip elevation & width reduction – created a sharper, more elegant look
Alar base refinement – further improved proportions
Functional breathing correction – enhanced both aesthetics and comfort
The final result transitioned from a natural aesthetic to a more striking and glamorous look, fulfilling the patient’s evolving aesthetic goals.
This is Dr. Cha-Young Kang, Chief Surgeon at Nose Lab Clinic.
Thank you.
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